Active NPI
RSS Jon Holman PLLC
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1154863231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4246
- Legal business name
- RSS JON HOLMAN PLLC
- Practice address
- 13301 N Meridian Ave
BLDG 100, Suite 100
Oklahoma City, OK 73120-9369 - Phone
- (405) 486-7879
- Fax
- (855) 829-4625
- NPI assigned
- Nov 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James R Evanger
- Title
- Ceo
- Phone
- (904) 469-3119
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4246 | OK | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | OK |
Addresses
Primary practice location
13301 N Meridian Ave
BLDG 100, Suite 100
Oklahoma City, OK 73120-9369
Mailing address
1050 Texan TRL
Suite 300
Grapevine, TX 76051-3741
Phone (469) 778-6100
National Provider Directory
National Provider DirectoryLocations
13301 N Meridian Ave
Ste 100
Oklahoma City, OK 73120
Phone (405) 310-3262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508112000000",
"number": "1154863231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 TEXAN TRL",
"address_2": "SUITE 300",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513741",
"telephone_number": "469-778-6100",
"fax_number": "866-300-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13301 N MERIDIAN AVE",
"address_2": "BLDG 100, SUITE 100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209369",
"telephone_number": "405-486-7879",
"fax_number": "855-829-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RSS JON HOLMAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-07",
"last_updated": "2017-10-16",
"status": "A",
"authorized_official_last_name": "EVANGER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-469-3119"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4246",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OK",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.